| Jinna K. Russell, Inc. | |
|
4070 Harlan St Wheat Ridge CO 80033-5116 | |
| (303) 456-2889 | |
| (303) 455-0200 |
| Full Name | Jinna K. Russell, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4070 Harlan St, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Jinna K Russell (OWNER) |
| Authorized Official Contact | 3034562889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jinna K. Russell, Inc. 4070 Harlan St Wheat Ridge CO 80033-5116 Ph: (303) 456-2889 | Jinna K. Russell, Inc. 4070 Harlan St Wheat Ridge CO 80033-5116 Ph: (303) 456-2889 |
| NPI Number | 1891106449 |
|---|---|
| Provider Enumeration Date | 05/16/2014 |
| Last Update Date | 05/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891106449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4563 (Colorado) | Primary |
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